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Delaware rates for HCPCS 21146

Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,154.91 / $5,816.00 / $43,250.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,483.69 / $1,616.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.95 / $1,607.31 / $2,916.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,244.77 / $12,244.77 / $12,244.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.79 / $1,631.32 / $3,708.42